Facial Plastic Surgery Procedures

Face

The first visible signs of aging appear on the face in the form of wrinkles, loose skin and sagging jowls. Dr. Shapiro can restore youthfulness by removing excess or migrated fat and tightening the skin with a face lift. Standard lifts for advanced aging, mini lifts meant for mild aging, and contemporary face lifts for a very natural look, are among the options available to patients at Shapiro Aesthetic Plastic Surgery and Skin Klinic.

Also known as a rhytidectomy, a facelift procedure addresses the bottom third of the face, including the jawline, neck and cheeks, to address loose neck sin, a “double chin” caused by excess fat and sagging jowls. This procedure also addresses nasolabial folds which extend from the corners of the nose to the mouth and marionette lines. While candidates may be nearly any age, most patients are in their 40s or 50s. This procedure may be combined with other facial procedures for total facial rejuvenation, including a browlift or facial fat transfer.

Also known as a deep plane lift, this procedure involves lifting and repositioning the superficial musculoponeurotic system (SMAS), a layer beneath the skin that surrounds muscles responsible for facial expressions. This procedure offers longer-lasting results than a traditional lift with fewer revisions necessary. This procedure is best for patients with severe skin laxity and sagging who want a longer-lasting lift that lasts 10 to 15 years. Recovery is very quick, between 10-14 days for most patients.

A non-surgical face lift restores a more youthful appearance without surgery using a series of procedure to correct wrinkles, lax skin and jowls. This procedure often combines Botox injections with soft tissue fillers like Juvederm, Sculptra, Radiesse and Restylane with laser therapy and fat transfer to reduce signs of aging in the face and neck. Depending on the treatments used, results may last for six months or indefinitely, with follow-up maintenance.

Also known as fat transfer or a stem cell facelift, this procedure helps restore lost volume and contour to the face. Common treatment areas include the temples and forehead, the cheeks and under the eyes to treat hollowing the results from age. Facial fat transfer is a very precise procedure that involves harvesting fat from other areas of the body, usually the hips, abdomen or thighs, preparing the fat and injecting it in very tiny amounts to the face. This fat then establishes its own blood supply for very long-term results.

The buccal fat pad is typically a walnut-sized amount of fat beneath the cheekbones that runs to the mouth. A prominent buccal fat pad is responsible for “chipmunk” cheeks, and removal can typically create an improved contour. While most people lose round cheeks as they age, some patients with very prominent cheeks may require this procedure to improve contour and give the appearance of high cheekbones by bringing out the definition.

Neck

A long slender neck is the epitome of feminine beauty, while a strong neck signifies masculinity. Sagging skin and excess fat represent neither. Several cosmetic procedures target the neck to restore a more youthful contour free of banding or excess skin and fat.

A neck lift, otherwise known as platysmaplasty, will restore the definition that the neck, jaw, and chin are meant to have. Small incisions beneath the chin or behind the ears will provide access for the tightening of the neck skin and removal of fat in this relatively painless procedure.

Liposuction of the neck is a minimally invasive procedure for younger patients with good skin elasticity to remove excess fat and tighten the skin. This procedure reduces fat deposits in the neck and under the chin that may make the neck seem bulky or leave a “double chin.” Dr. Shapiro uses VASER technology for this procedure to avoid excessive bruising and activate natural skin tightening.

A non-surgical lift is an option for patients who do not want surgery but want to lift the neck and sharpen the jawline. Dr. Shapiro offers several non-invasive procedures to produce a more youthful neckline, including ultrasonic liposuction, Botox injections to tighten to the neck muscles, laser skin tightening that activates collagen production and fat rafting to soften the beginning of jowls.

Brow

A brow lift can eliminate the constant appearance of being tired or angry that can be caused by age-related wrinkles and sagging. Dr. Shapiro is a Scottsdale brow lift specialist. He utilizes endoscopic or open (coronal) brow lift techniques depending on the severity of the wrinkling skin. Both men and women can benefit from the restored restful look this procedure results in.

Also known as a mini browlift, this non-surgical procedure uses Dysport injections and long-lasting dermal fillers like Radiesse and Sculptra to address dynamic wrinkles like frown lines and other wrinkles around the brow. This procedure can add youthful volume to the face, fill hollows beneath the eyes and fill deep lines and wrinkles.

Eyelid

Blepharoplasty, or eyelid surgery, removes excess skin, fat and/or muscle that accumulate due to heredity and age. Patients who undergo eyelid surgery appear more alert once sagging and puffiness of the upper and lower eyelids has been reduced. Dr. Shapiro also performs double eyelid surgery to create a supratarsal fold in individuals who desire one.

Nose

Rhinoplasty is the reshaping of the nose to improve facial proportion and create a more pleasing profile. On occasion, about 15% of the time nationwide, revisions may need to be made to improve upon the results of an initial rhinoplasty procedure. When the septum is distorted, septoplasty may be performed. Dr. Shapiro has extensive experience in aesthetic and functional rhinoplasty as well as revision rhinoplasty.

Nose reshaping is the most complex cosmetic surgery procedure, and revision surgery is even more delicate. This is one of Dr. Shapiro’s favorite procedures to perform as it can help patients achieve the results they want but did not receive from a previous “nose job,” including correcting cosmetic problems or breathing problems.

Patients who are not ready for nose surgery may opt for a non-surgical “nose job.” This procedure cannot produce the dramatic results of surgery, but it can use injectable fillers to address a nasal bump, a droopy tip or other irregularities, including those resulting from a previous surgery. This procedure is very affordable with no downtime and immediately evident results.

This procedure corrects a deviated septum, which is the bone and cartilage dividing nasal passages into two nostrils. Around 80% of people have some deviation of the septum, although few have symptoms that require correction, such as difficulty breathing through the nose or chronic nasal congestion. A deviated septum may be present from birth or from injury to the nose, and it can be so great as to make the nose seem crooked.

Lips

The lips are centers of affection and verbal communication, smiles, frowns, and kisses. For many men, but most especially women, voluptuous lips are one of the most alluring parts of the face. Some people are born with lips that are kissable and shapely, yet have been disappointed to find that they have diminished with age. Others are born with lips they always wished were fuller. Either way, luscious lips are forever in style and will always be attractive. A full set of lips instantly enhances an already attractive face—from pursed and aged to youthful and sensual. It is very easy to get the lips you’ve always wanted by simply adding volume.

Chin

The chin and jawline are important in creating balance and harmony for the face. One way to improve facial proportion is with a silicone implant placed over the existing bone of the chin for added definition. Jaw implants also help to enhance the appearance of the cheekbones, eyes and nose in patients with a weak lower facial structure. Dr. Shapiro has found that in Scottsdale chin implant surgery and jaw implant surgery have increased in popularity, particularly among male patients.

A chin implant can help bring balance and symmetry to the face for patients with a weak or recessed chin. This procedure is popular with both men and women and it is minimally invasive, involving a single small incision that is well hidden beneath the chin. The procedure also has a fast recovery time.